What is a letter of protection?
A letter of protection (sometimes called a medical lien) is a written agreement among three parties: you, your personal-injury attorney, and our practice. It lets us provide ongoing chiropractic treatment without billing you at the time of service. We're paid out of your eventual settlement or judgment.
It's not a loan. There's no interest. There's no credit check. There's no payment from you while you're recovering.
Who qualifies?
- An active personal-injury claim against the at-fault driver
- A Texas-licensed personal-injury attorney representing you
- A documented motor-vehicle accident
- A treatment need we determine is medically necessary and related to the accident
If you don't have an attorney yet, we can refer you to several PI attorneys we work with regularly in Tarrant County.
How LOP care works
Four steps.
- 1
Your attorney sends us a signed letter of protection
A standard one-page document. They've done it dozens of times. We have a template if they need one.
- 2
You begin (or continue) treatment
We treat you exactly as we would any other auto-injury patient. The clinical care is the same. The only difference is the billing pathway.
- 3
We document everything for your case
Every visit. Every finding. Every modality used. Records are sent to your attorney as needed throughout the case.
- 4
We're paid from your settlement
When your case settles, your attorney pays our bill out of the settlement proceeds. You don't write us a check.
What does and doesn't letter-of-protection care cover?
Does cover
- • Treatment medically necessary for accident-related injuries
- • Diagnostic imaging when indicated
- • Therapeutic modalities and rehabilitation
- • Documentation and reporting for your case
Doesn't cover
- • Wellness or maintenance care
- • Treatment unrelated to the accident
- • Care after your case has settled
If you want to continue chiropractic care for general health after your case ends, you can transition to Dr. Ganschow's general practice at drganschow.com — paid by health insurance, HSA, or self-pay.
For attorneys: working with our practice.
If you're a personal-injury attorney in Tarrant County and you'd like to refer clients, we'd welcome the conversation. We provide:
- Documentation built to support your case (not just clinical care)
- Final narrative reports tied to specific mechanism-of-injury findings
- Billing aligned to standard Texas PI practice
- Direct communication with your office staff